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<!doctype html> <html lang="de"> <head> <title>Jacksonian March Revisited? A Case of Local Tetanus with Gen | 43153</title> <meta name="keywords" content="Doss Ryan S and Levy Philip, "/> <meta name="description" content="A 41 year-old male with no prior history of seizure disorder presented to the emergency department complaining of four “seizure” episodes which..43153"/> <meta name="citation_publisher" content="Longdom Publishing SL" /> <meta name="citation_journal_title" content="Notfallmedizin:Offener Zugang"> <meta name="citation_title" content="Jacksonian March Revisited? A Case of Local Tetanus with Generalized Spread"> <meta name="citation_author" content="Doss Ryan S" /> <meta name="citation_author" content="Levy Philip" /> <meta name="citation_year" content=""> <meta name="citation_volume" content="4"> <meta name="citation_issue" content="3"> <meta name="citation_abstract" content="A 41 year-old male with no prior history of seizure disorder presented to the emergency department complaining of four “seizure” episodes which began a few hours prior to arrival. Within minutes of triage, one of the episodes was witnessed and inconsistencies with seizure activity including an absence of clonus, consciousness throughout the event and lack of a post-ictal state were noted. Further examination led to discovery of an untreated laceration on the patient’s left hand which had been sustained 1-week prior on a rusted metal fence. More extensive history also revealed recurrent episodes of muscle spasm in his left hand which preceding the generalized attacks. A presumptive diagnosis of wound tetanus with secondary, generalized manifestation was made and the patient was treated with local and intramuscular tetanus immunoglobulin as well as intravenous metronidazole and diazepam. The patient was admitted to the Neurologic Intensive Care Unit and, after 1 week of therapy, made a full recovery. While rare in the developed world, acute tetanus remains a disease associated with a significant morbidity and mortality (even in the United States). The high rate of lapsed adult immunization as well as the prevalence of insufficient effective antibodies even in those sufficiently immunized mandates vigilance on the part of the emergency physicians-particularly in patients with atypical neurological presentations."> <meta name="citation_abstract_html_url" content="https://german.longdom.org/abstract/jacksonian-march-revisited-a-case-of-local-tetanus-with-generalized-spread-43153.html"> <meta name="format-detection" content="telephone=no"> <meta http-equiv="Content-Language" content="de"> <meta name="google-site-verification" content="NomPTP94YozsgvD3NEFpNqUfY88e0TU0L64zNzZTpd0" /> <meta itemprop="name" content="longdom" /> <meta http-equiv="X-UA-Compatible" content="IE=edge"> <meta name="ROBOTS" content="INDEX,FOLLOW"> <meta name="googlebot" content="INDEX,FOLLOW"> <meta name="viewport" content="width=device-width, initial-scale=1, shrink-to-fit=no"> <link rel="canonical" 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A Case of Local Tetanus with Generalized Spread</h3> <p> <i class="fas fa-user"></i> Doss Ryan S and Levy Philip </p> <p>A 41 year-old male with no prior history of seizure disorder presented to the emergency department complaining of four “seizure” episodes which began a few hours prior to arrival. Within minutes of triage, one of the episodes was witnessed and inconsistencies with seizure activity including an absence of clonus, consciousness throughout the event and lack of a post-ictal state were noted. Further examination led to discovery of an untreated laceration on the patient’s left hand which had been sustained 1-week prior on a rusted metal fence. More extensive history also revealed recurrent episodes of muscle spasm in his left hand which preceding the generalized attacks. A presumptive diagnosis of wound tetanus with secondary, generalized manifestation was made and the patient was treated with local and intramuscular tetanus immunoglobulin as well as intravenous metronidazole and diazepam. The patient was admitted to the Neurologic Intensive Care Unit and, after 1 week of therapy, made a full recovery. While rare in the developed world, acute tetanus remains a disease associated with a significant morbidity and mortality (even in the United States). The high rate of lapsed adult immunization as well as the prevalence of insufficient effective antibodies even in those sufficiently immunized mandates vigilance on the part of the emergency physicians-particularly in patients with atypical neurological presentations.</p> <div class="alert alert-info text-left"><b>Haftungsausschluss:</b> Diese Zusammenfassung wurde mithilfe von Tools der k眉nstlichen Intelligenz 眉bersetzt und wurde noch nicht 眉berpr眉ft oder verifiziert.</div> <div class="nav social-icons"> <a class="nav-link w-auto">Teile diesen Artikel</a> <a title="Hier klicken" target="_blank" href="https://www.facebook.com/sharer.php?u=https://german.longdom.org/abstract/jacksonian-march-revisited-a-case-of-local-tetanus-with-generalized-spread-43153.html" rel="noopener"><i class="fab fa-facebook-f"></i></a> <a class="nav-link" title="Hier klicken" target="_blank" href="https://twitter.com/share?url=https://german.longdom.org/abstract/jacksonian-march-revisited-a-case-of-local-tetanus-with-generalized-spread-43153.html" rel="noopener"><i class="fab fa-twitter"></i></a> <a class="nav-link" title="Hier klicken" target="_blank" href="https://www.linkedin.com/shareArticle?mini=true&url=https://german.longdom.org/abstract/jacksonian-march-revisited-a-case-of-local-tetanus-with-generalized-spread-43153.html" rel="noopener"><i class="fab fa-linkedin-in"></i></a> <a class="nav-link" title="Hier klicken" target="_blank" href="https://plus.google.com/share?url=https://german.longdom.org/abstract/jacksonian-march-revisited-a-case-of-local-tetanus-with-generalized-spread-43153.html" rel="noopener"><i class="fab fa-google-plus-g"></i></a> </div> </div> </div> </div> </section> <footer class="bg-blue-grey-900 py-3"> <div class="container"> <div class="row"> <div class="col-12 col-sm-4"> <h4 class="white font-size-4 fweight-400 border-bottom-1 pb-2">Inhaltslinks</h4> <ul class="list-unstyled footer-links font-size-3"> <li><a class="" href="https://german.longdom.org/privacy-policy.html" title="Hier klicken">Datenschutzrichtlinie</a></li> <li><a class="" href="https://german.longdom.org/terms-conditions.html" title="Hier klicken">Allgemeine Gesch盲ftsbedingungen</a></li> <li><a class="" href="https://german.longdom.org/authors-reviewers-editors.html" title="Hier klicken">Autoren, Gutachter & Herausgeber</a></li> </ul> </div> <div class="col-12 col-sm-4"> <h4 class="white font-size-4 fweight-400 border-bottom-1 pb-2">Kontaktieren Sie Longdom</h4> <p><strong>Longdom Group SA</strong><br /> Avenue Roger Vandendriessche,<br /> 18, 1150 Br眉ssel, Belgien<br /> Telefon: +442038085340<br /> <strong>E-Mail:</strong> <a class="white" href="mailto:info@longdom.org" title="Hier klicken">info@longdom.org</a></p> </div> <div class="col-12 col-sm-4"> <h4 class="white font-size-4 fweight-400 border-bottom-1 pb-2">Verbinden</h4> <nav class="nav nav-pills social-icons-footer flex-column a-pl-0"> <a href="https://www.facebook.com/longdompublisher" title="Hier klicken" target="_blank" class="nav-link bg-facebook-hover"><i class="fab fa-facebook-f bg-facebook"></i></a> <a href="https://www.linkedin.com/company/longdom-publishing-sl/" title="Hier klicken" target="_blank" class="nav-link bg-linkedin-hover"><i class="fab fa-linkedin-in bg-linkedin"></i></a> <a href="https://twitter.com/LongdomP" title="Hier klicken" target="_blank" class="nav-link bg-twitter-hover"><i class="fab fa-twitter bg-twitter"></i></a> <a href="https://www.instagram.com/longdom_publisher/" title="Hier klicken" target="_blank" class="nav-link bg-instagram-hover"><i class="fab fa-instagram bg-instagram"></i></a> </nav> </div> </div> <div class="row text-center"> <div class="col"> <p>Urheberrechte 漏 © 2024 <a href="https://german.longdom.org/" title="Hier klicken" class="white">Longdom Publishing SL</a>.</p> </div> </div> </div> </footer>  <a href="#0" class="cd-top js-cd-top">Top</a>   <script src="https://code.jquery.com/jquery-3.3.1.min.js"></script> <script src="https://cdnjs.cloudflare.com/ajax/libs/popper.js/1.14.7/umd/popper.min.js"></script> <script src="https://stackpath.bootstrapcdn.com/bootstrap/4.3.1/js/bootstrap.min.js"></script>  <script> jQuery(function($) { $(window).scroll(function fix_element() { $('#target').css( $(window).scrollTop() > 100 ? 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